45D1022993 CLIA NUMBER - NORTH AUSTIN OBSTETRICS & GYNECOLOGY OB GYN NORTH

Laboratory Demographics

CLIA Number: 45D1022993

Facility Name: NORTH AUSTIN OBSTETRICS & GYNECOLOGY OB GYN NORTH

Facility Address:
12221 RENFERT WAY STE 330
AUSTIN, TX
ZIP 78758
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Facility Phone Number: 512 425-3825

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1063466043

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1022993
LAB Type	Physician Office
Facility Name	NORTH AUSTIN OBSTETRICS & GYNECOLOGY OB GYN NORTH
Street	12221 RENFERT WAY STE 330
City	AUSTIN
State	TX
ZIP	78758
Phone	512 425-3825
CertificateType	3
CertificateEffectiveDate	3/5/2024
CertificateExpirationDate	3/4/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024